| NPI | 1235866831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017370) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC PAIT-Y73DI) |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2023-02-14 |